Individual provider Active NPI

Lina Jameel, DDS

  • General Practice Dentistry
  • Burke, VA
National Provider Identifier
1356835094
Registry record updated Jun 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401416074 Issued in VA
Practice address
9239 Old Keene Mill Rd
Burke, VA 22015-4202
Phone
(703) 609-8156
NPI assigned
Jun 17, 2018
Last updated
Jun 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401416074 VA Primary

Addresses

Primary practice location

9239 Old Keene Mill Rd
Burke, VA 22015-4202

Mailing address

9101 Fisteris CT
Springfield, VA 22152-2179
Phone (170) 360-9815

Other practice location 1

9101 Fisteris Ct
Springfield, VA 22152-2179
Phone (170) 360-9815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401416074VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lina Jameel DDS PLLC General Practice CurrentSince Feb 6, 2022 Accepting new patients

Locations

112 Elden St
Ste N
Herndon, VA 20170
Phone (703) 787-9000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529193600000",
    "number": "1356835094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 FISTERIS CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522179",
            "telephone_number": "170-360-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 OLD KEENE MILL RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154202",
            "telephone_number": "703-609-8156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9101 Fisteris Ct",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221522179",
            "country_code": "US",
            "telephone_number": "170-360-9815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMEEL",
        "first_name": "LINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-17",
        "last_updated": "2018-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.